Active NPI
Courtney Melissa Mann, CRNA
- Certified Registered Nurse Anesthetist
- Farmers Branch, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP127401
- Practice address
- 3169 Berrymeade LN
Farmers Branch, TX 75234-3729 - Phone
- (580) 222-6916
- NPI assigned
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP127401 | TX | Primary |
Addresses
Primary practice location
3169 Berrymeade LN
Farmers Branch, TX 75234-3729
Mailing address
3169 Berrymeade LN
Farmers Branch, TX 75234-3729
Phone (580) 222-6916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 226-1251
Hospital & facility affiliations
- Mercy Hospital Ardmore, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Plains Anesthesia, PLLC | Current | Accepting new patients | |
| Southern Oklahoma Surgical Center Inc | Current | Accepting new patients | |
| Arcadia Anesthesia PA | Current | Accepting new patients |
Locations
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
901 12th Ave NW
Ardmore, OK 73401
Phone (580) 220-6560
2412 N Commerce St
Ardmore, OK 73401
Phone (580) 226-5000
6160 Windhaven Pkwy
Ste 220
Plano, TX 75093
Phone (972) 212-7463
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Ardmore, OK
- NPI 1285020362
-
- Ambulatory Surgical Clinic/Center
- Ardmore, OK
- NPI 1699767210
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1568800266
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1669860250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3169 BERRYMEADE LN",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752343729",
"telephone_number": "580-222-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3169 BERRYMEADE LN",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752343729",
"telephone_number": "580-222-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "COURTNEY",
"middle_name": "MELISSA",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP127401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.